Individual
MRS. GRACE KIM GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Mailing address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R856106
MS
Other
Enumeration date
03/17/2008
Last updated
10/13/2009
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